Individual
JENNIFER MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 E 106TH ST, CHICAGO, IL 60617-6625
(773) 503-8715
Mailing address
2857 S KEELER AVE, CHICAGO, IL 60623-4331
(773) 474-0225
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006797
IL
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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